Page images


ginning of all treatment in all cases, and part sions, premature ejaculation, etc. Arbutin of it in most of them.

and lithium benzoate I use frequently in bladThe next point is “dose enuf"; that is, der troubles, chronic cystitis, and the like. having chosen your remedy, saturate your pa- Boldin acts well in torpid liver, also useful in tient. Get the physiological effect you are case of gall-stones. Atropin and ergotin, after, then increase the time between doses so alone or in combination, in cases of menoras to maintain the effect.

The best way to

rhagia, metrorrhagia and all forms of hemorsaturate the system is by small doses frequently rhage. Cannabin and atropin to replace repeated. If this rule is followed you need morphin.. Cicutin as a spinal sedativ, to renever get any over action if you watch the lax spasm, priapism, etc. Colchicum in rheueffects properly. In regard to particular dis- matism is almost a specific. Hyoscyamin as eases, no routine treatment can be followed. an antispasmodic, or occasionally as a hypThis is particularly true in the use of the notic, is excellent. Sanguinarin nitrate is an alkaloids. They have often been called “arms excellent sexual stimulant, especially for frigid of precision,” and must therefore be aimed at

The combination granule of helonin, definit symp

ms or conditions. As no two caulophyllin, macrotin and hyoscyamin comes cases, even when the diseases are called by last but not least. It gives me better satisfacthe same name, are exactly alike, so, too, the tion than any combination granule I have ever treatment of each must vary according to the used. It is of service in almost every form of conditions to be met.

uterin trouble, whether functional or organic. All doctors have their favorit remedies. It gives more or less relief even in those cases This is true of the alkaloidal convert, but I where some form of operation is the only hope think most physicians who use these remedies

of cure. This granule, or pill, is known as use a larger number of drugs than those who

uterin tonic (Buckley), and it deserves its use the more bulky forms of medicin. One

name. It surprises me nearly every time I use reason is that a much larger supply can be it. carried in the same space, and the remedies

I might say much more, but I fear I have being at hand, they are used. Every hospital used more than my share of space already. interne discovers when he goes into practise

E. F. ROBINSON, M.D. that the lack of a well stockt laboratory Boston, Mass. causes him to forget the use of many remedies he deemed absolutely necessary while in the

For Toothache. hospital.

Here is a fine toothache formula, which I Just a few words then in regard to my

have used with great success : favorit remedies. Perhaps I ought to give

R first place to bioplasm ; at any rate I use more Fl. ext. aconiti. of it than of any other drug except saline lax- 01. caryophyl ativ. Saline, as I said before, is part of the

Chloroformi, āã treatment in every case I handle, at least at

M. Sig:-Saturate a small pledget of cotton with the

drops and place in the cavity. Also rub some on the the start. It is right to “speak well of the

affected gum. bridge that carries you safely over. Bio

Lawson, Col.

F. AMMON, M.D. plasm stopt the course of a well developt case of lateral sclerosis (my own), and has restored

Peruna. me to very nearly a normal condition-and

Editor MEDICAL WORLD:-I noticed the keeps me there.

question about peruna in your last issue. Nuclein (Aulde) is very similar to bioplasm,

a drug-store where I fixt up a laboratory, an or vice versa as you prefer. In some cases it

imitation of peruna was manufactured and sold. seems to give me fully as good results. I use

This imitation was composed of: it particularly in combination with the arse

Comp. fl. ext. of gentian

3 90 nates of iron, quinin, and strychnin. This Fl. ex. of taraxacum

cong. j

52 tablet is particularly useful in cases of sexual Acid phos. dil.

3 75 debility," night losses," premature senility Tr. cardamon comp.

3 90 and cases of this class.

Syrup simplex

cong. ij Z 104 Glycerin

cong. vij Z iv In intestinal indigestion I have used the in

Sherry wine

cong. ix 3 108 testinal antiseptic tablet (W-A) with good

Ziv success. This is composed of the sulfo-carbo

3 ij gr. 120 lates of lime, zinc and soda. It does exactly

This imitation appeared to me to be a very what its name indicates. I use it frequently clever one; if anything, it seems to be an imand it seldom disappoints me.

provement on peruna, so far at least as sherry Ammonium, combined frequently with cypri- wine is preferable to whiskey. I. LADOFF. pedium, serves me well in cases of seminal emis- Schenectady, N. Y.


dr. ss



. Cascarin

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“ Bowel


Quantity of Triturate or Menstruum in 30x.

Homeopathic Replies. Editor MEDICAL WORLD :-Dr. Spain's con- Editor MEDICAL WORLD :- Page 532. My comment tention that "it would require five globes the on your editorial, “therapeutic cowardice,'' would be size of our earth to contain the 30x trituration

for such persons to use alkaloids, from a reliable

house, as safer than Galenic pharmaceuticals. of a drug" is approximately correct, notwith- troubles in typhoid." The Editor is correct: That standing the fact that Dr. Edgar can make the nature means something when causing discharges, and 30x " in thirty little 2-drachm vials. The fact

it is hardly correct to fill the patient up with drugs,

upon a theory of antisepsis, when the patient's life of the business is that Dr. Edgar forgets that he force is already much deprest. That patient getting discards nine-tenths of his solution at each

up and about is not all the proof. There is where

treatment by a law of cure can aid nature restore dilution, and that is what keeps the quantity itself, and these loose discharges, subsultus, etc., are down. If he does not believe Dr. Spain's our guides in selecting the remedy to cure, instead of statement, let him undertake to make the 30x

forcing drug action upon any theory.
Page 537

Spina bifida.” I compliment Dr. Workdilution of salt and use all of it. If he dis- man on his successful operation. If it shows sympcards no part of it he will have at the tenth toms of returning, or Pott's disease shows up, I ask

him to consider the tissue remedy lacking, and my dilution something like 20,000,oco gallons of

suggestions, for I have cured such cases with the solution, and the quantity will be multiplied homeopathic remedy when other practicians prognosed by ten at each subsequent dilution. What,

as did his colleague.

Page 538. “Erysipelas." I suggest to Dr. Eads therefore, would be the quantity of salt in a

that his cases may have been caused by the home use barrel of the 30x? I'll tell you doctor that of tinct. of arnica. It is frequently the cause thru drug 40,000,000 such particles of salt could play

store prescribing and the family not knowing how to

use this useful remedy correctly. Never use it to an hide-and-seek on the toe nail of a ptomain for

open wound. ten thousand years and never find one another. Page 539. Dr. Black's treatment of septicemia. Shubert, Neb. J. F. STONG, M.D.

Put yourself in his or her place," is the title of a book by Chas. Reade. Page 543

Routine use of douche after parturition.”

I second and quadruple his comment that “it is unHomeopathic Treatment of Elongated Pre

justifiable." puce.

Page 544. Dr. Giltner takes steam to not learn. The Editor MEDICAL WORLD:- I wish to say a

Editor put the heading. The truths I gave were for

the profession to learn, and is not literally a “substifew words in reply to the paper entitled tute for circumcision," but to cure the patient, whose “Homeopathic Substitute for Circumcision." abnormal condition is keeping back proper develop

ment. We give the remedy to absorb only what is The paper in question is calculated to prejudice

abnormal to the proper development, and on the same the most liberal among the dominant school. principle is that of proper subinvolution restoring the Homeopathic therapeutics were never intended uterus of the new mother to near its virgin size. Dr.

G. has viewed my suggestions of proven remedies, to teach such unreasonable ideas. The writer,

verified, and has cured, thru his forcing drug action if he holds such opinions, would better keep ideas. I thank him for his compliments on what I them to himself. I studied in the homeopathic

know, also for his attack on the jaborandi forcing, for

in that rut he is more versed. But during gestation, school and have never had reason to regret it; we have remedies to help nature restore the mammary but I have failed to find such a remedy-one

gland to its natural duty, guided by its previous fail

ure and the concomitants of the woman otherwise, to with the power to amputate foreskins and

help us select the remedy, commencing to give it at the fingers cosmetically. I have recently circum- third or fourth month of gestation. Many cases in cised several children, who were brought to

multiparas have been caused by the forcing drug

treatments previously, as ergot, camphor, etc. me for worms and other supposed nervous

Page 547. Dr. Boynton makes some good points in troubles, and have succeeded in relieving them. his suggestions about changing locations. They are How any sane man can believe, much less worth thinking about.

Page 549. Dr. Lum's points about R writing are expose, such ideas, I fail to understand. The

correct. The sooner the profession do their own disfailure to recognize the necessity for circum- pensing, the better for both physician and the people. cision, and to neglect to perform the opera

Having been in the drug business myself, I know

something about it. We had one family who averaged at tion, would be evidence of gross incompetence.

my store $150 per year for patent medicins, and maybe The average homeopathic doctor is familiar some more from other stores. I, as a physician, would with the current literature, and is able to con

have gladly taken charge of that family at $150 or $100

per year and furnisht the medicin. sult with regular physicians, or write prescrip- Page 559. Capricious vomiting." I suggest to tions for all the pharmaceutical preparations. Dr. Hoyt to dilate the cervix uteri and leave a sponge Physicians are getting nearer together. For

tent therein for 36 or 40 hours, if possible, before with

drawing it. Add calc. sulfid, smallest dose, but repeat my part, I am practising medicin honestly and

frequently and for some weeks. Don't saturate! Toto conscientiously.

D. O. McCRORY. tastes bad enut if water is used. Get the idoo from

Clapp & Sons. Omit all drugs and local means exMobile, Ala.

cept cervix dilatation.

Page 560. Capitis, or terebintha poisoning: Give Dr. A. J. Hall, of Jemison, Ala., reports

phosphorous apdoo to antidote the poisoning, then fol

low with psoric fox in disks two each two hours to good results in erysipelas from sulfid of calcium cure. Can be procured from B. & T., Chicago.

Page 560. Progressiv paralysis." Electricity I internally, and sulfocarbonate of zinc in strong

think is harmful; but conium 6x, and nux vomica 6x, solution applied locally.

three doses of each per day, have helpt others. You

show you.

surprised me, and then I said to him, “Suppose one of those horses should get the colic during the night; who would find it out?” The stable was 100 yards away from the nearest house. He replied, “We have no colic." Then I askt him how he prevented it. He replied, " I will take you into the stable again and

We entered and he showed me a barrel full of Glauber salts. He further stated, “We keep that on hand all the time, and put a handful into the feed of each horse twice a week.” When I returned home I bought a barrel, ordered it to be used as above mentioned, and I am pleased to state that we have not had a case since. This beats all the cures.

BALTIMORE. [This is not a veterinary journal, but as nearly every doctor has one or more horses, the above will doubt. less be of value to our readers.-ED.]

might try the alkaloids conin and strychnin, and proscribe coffee absolutely.

Page 560. Chronic pharyngitis” needs bichromate of potash in a weak solution, frequently repeated. If you use the atomizer as a placebo," use the bich. potass. in it. This is to cure catarrh and all. Try it.

Page 562. “Facial eczema.” With what symptoms given, try weak solution of ammon. carb., internally and locally. This is to cure, not to palliate or drive in.

Page 562. “Rectal prolapse in boy” is absolutely curable by the remedy given internally, I suggest podophyllin zox if light-colored stools; plumbum 30x if constipated and the sphincter tends to violent constriction at times; merc, vivus 30x if rectum of dark color and bleeds easily and the prolapse is after the fecal discharge; ignat. 30x if worm indications, and prolapse even with soft discharges. Dr. Hines can procure i oz. of disks of one or more of the above remedies from B. & T., Baltimore, and give two disks night and morning. Use no local applications except pure water.

Page 562. “Chronic diarrhea in female.” Needs tinct. cinchona first. Make a solution of lobo in water and alcohol, and give 20 drops each three hours. This will build her up at once. You may have to follow with small doses of rheum or nux moschata afterwards. These suggestions, Doctor, are for curativ remedies, not to force a drug action, hoping to abort.

Page 563. “Traumatic epilepsy” in 13-year-old girl. Needs arnica 30x first. Send to Munson & Co., St. Louis, and get 13 of disks and give three three times a day. Also procure hypericum 3ox and give the same way alternate weeks. It will take fine remedies to cure this case, and crude drugs will not only not cure, but will set the case like soap does an ink stain.

Page 563 "Ravages of venereal diseases," quoted from Medical Standard. Why, then, not learn how to cure such diseases according to an absolute law of cure? and not suppress them by local and crude practises.

John F. EDGAR. El Paso, Texas.

Cure for Colic in Horses. Editor MEDICAL WORLD :-In reply to Dr. Gibson's query, page 563, December WORLD, I beg to submit the following:

Twenty years ago I started in business. I knew nothing of business, and considerably less of horses. In the first four years of my experience I lost thirteen horses with colic. They cost me over $2,000. This prompted me to make inquiry in every direction. Finally, I askt a coal agent. It so happened that a relativ of his was a veterinary. He then made it a point to ask the veterinary for a remedy. Later on he brought me the following prescription from M. E. Conrad, V.M.D., West Grove, Pa.:

Cannabis indica, fi. ext. .

6 ounces. Give two tablespoonfuls every half hour until pain subsides, or until three doses are given.

I am pleased to state that since then I have not lost another horse. The proper way to give it is to get a syringe to hold one ounce, fill it with the medicin and squirt it in the horse's mouth. Keep away from him so as not to excite him. If given early, one dose will do the business.

I gave the above recipe to a horse doctor of this city some time ago. He uses can. ind. and linseed oil, equal parts. He claims that this is better, because it will not irritate the stomach. Last year he had 229 cases and lost only two. He is, without exception, the most intelligent veterinary I ever knew. He has a tremendous practise. He was educated at the University of Pennsylvania. He uses two ounces of can. ind. and lin. oil, equal parts, mixt, as a dose.

Now, as to a preventativ: About five years ago I was at York, Pa., to buy a horse from a contractor. I got there late in the evening. After we had been at his stable to look at the horse, we came out and he lockt up the stable. He had about 75 horses in there, with no one to look after them during the night. This

Is This the Truth? It is a mighty easy matter now to become an M.D. For $25 you can get a four years' course and a diploma which says, “Labor conquers all things." and the labor part has conquered when you get the $25. For an additional $10, you can get a four or five years' hospital experience (this is regulated by your age) and a certificate with a big seal and blue ribbons will herald it to the suffering public. The signatures at the bottom of one of these certificates would make a Chinese laundry check look like 38 cents.

It's too late now for some of us to take advantage of this grand clearing sale of medical learning, but to the young man starting in life this is certainly a golden opportunity.

It would be well for any one desiring to take up this course to follow the advice of one who went the long route.

The first and most important thing is the $25, which can be sent by money order or N. Y. draft,

A silk hat will give you the practise of medicin as well as you need know it.

A diamond ring (imitation will do) will make any man an accoucheur.

A Prince Albert coat, to the laity will mean a knowl. edge of surgery.

Diagnosis is easy, for nine out of ten will know exactly what is the matter with them.

Patent leather shoes will build you up a reputation as a gynecologist.

As to prescribing, just get a lot of tablets; the directions on the bottle will tell you what they are for, dosage, etc.

Get your picture in the paper and advertise to cure all things. A certain percent of your cases will get well in spite of your treatment.

Don't pay any attention to ethics; antagonize every old style physician in the country; make your fees high and collect in advance.

Now, young man, I am satisfied that this will work, for I have seen it tried in several different localities. The people are tired of the old school man and are anxious for a change. If you will follow my instructions, and above all things be brazen, you will be able to stay in most any community for a year.

You understand that the regular physician hasn't any way of letting the public know that you are a fakir and a grafter, and if he did have, his misunder. standing of ethics would prevent him from exposing you.

True, they have societies everywhere, but their time is taken up in professional research instead of mutual assistance.

Go forth young man, for “the harvest is plenty and the laborers are few."

D. L. BLEVINS, M.D. St. Anthony, Idaho.

In injecting whiskey or ether for surgical shock, or in suspension of respiration during anesthesia, always inject deeply into muscular tissue to guard against slufing of the skin, and avoid the larger nerve trunks, as such injections have been followed by neuritis and paralysis.


New books as they appear, are sent to our Assistant Editor, Dr. A. L. Russell, of Midway, Washington Co., Pa., for review As the Doctor thus has all the late books for reference, and is made familiar with them by reviewing each one carefully as it reaches him, he is unusually equipt for answering queries. Therefore it has been our custom for a long time to send queries to him for reply. In fact, the Doctor made a special request that this be done, as he enjoys this work. It now occurs to us that time will be saved if you will send directly to Dr. Russell matter intended for the Quiz Department, which has grown so much under his vigorous a treatment" Please notice that our query department is not used to "boost" proprietary remedies, almanac fashion. THE MEDICAL WORLD has no interests other than to give to the medical profession the greatest amount of honest service possible. It has absolutely no interests in any proprietary preparation nor any medical supply house. Other medical editors have become, and are becoming, wealthy, by using their pages to increase the sale of preparations that they are interested in ; but we prefer to render service to our subscribers that is above suspicion of personal pecuniary interest. How can a man interested in the sale of certain preparations render the best service? He is always trying to push one of his preparations in. That is commercial journalism. We prefer ethical journalism-and so does the profession, for THE MEDICAL World is growing in popularity faster than ever before-and our subscribers are paying ones. 1 hey must be, for we bave no medicins to "boost," nothing to sell, nothing to depend on but pure journalism; but doctors that want honest, straight journalism are willing to pay for it--they are glad of the opportunity.

Only such queries will be publisht as are likely to interest and instruct many others as well as the one asking help. No charge has ever been made, nor will any charge be made, for this service to our subscribers. However, those who wish an immediate and personal reply by mail may obtain the same by inclosing two dollars to Dr. Russell. This is really a consultation in the interest of the patient, and should be charged to the patient--two dollars being a very moderate consultation fee. The Doctor agrees to give full, careful and immediate attention to such consultations. We reserve the right to publish in this department any such consultations that may be interesting and helpful to our readers. Name and address will be withheld if requested. Come freely for help, but read up as fully as you can before coming to us.

Womb Support Became Fixt. Editor MEDICAL WORLD :-Here is an odd case. I was called recently to see a lady aged 78 years, who told me that she had suffered from prolapsus uteri for years, so that she wore a tight T bandage for its support. Three hours before calling me she had taken a hard rubber fenestrated vaginal tip belonging to her fountain syringe outfit and used it to raise the uterus; introducing it nearly its entire length, she supported it upon her T bandage. All went well till she tried to sit down, when she felt uncomfortable ; then she tried to remove it, but it firmly resisted all her efforts at removal. I placed her in a good light, and it seemed as if she was firmly held by a six sbankt fish hook. The tissues of the cervical canal had crept thru the slots, and aided by swelling, had firmly packt the interior of this umbrella frame like affair, so that it taxt our patience and ingenuity to unlock the combination. CHAS. L. LANG, M.D. Weedsport, N. Y.

For Scabies. If skin is not broken-Sig.: Three tablespoonsfuls of formaldehyde to a quart of water, and apply with a sponge. If skin is broken, creolin in the same proportions will do the work but takes a little longer. Randall, Iowa. WM. H. WILLSON, M.D.

Osteopaths. An old subscriber writes as follows: Our friend, Dr. D. A. Stevens (page 540, December WORLD), need have no fears; if it is as he tells your readers, " osteopathic treatment is a power for good in healing," the system will live; if not, it will go the way of all systems that promise too much. The dangers are many ; too many are going into it who are not qualified, who are too old to continue in present profession and take it up because there is “money in it;" also men who were good professional nurses. I see a danger in the trend of that school to take up the treatment of internal diseases; if they do, that will be the rock upon which their ship will be wreckt. A friend was under treatment for deafness following scarlet fever; her osteopathic doctor, “ and one of the very best," promist a cure by fooling with the end of her spine for six weeks; she was the same, and he the richer by big fees. Another friend under treatment for rheumatism for five weeks; the doctor fooled with "a nerve at the end of his spine;” no result-the doctor (?) richer by $125.00. Not the same doctorone in eastern New York, the other middle-but both are "shining lights” in that school. Both these men have no medical training, and they are making money;" have “done some good work in bone and joint work," so runs the report.

It is reported that a Pennsylvania doctor burnt up, as worthless, $42,000 in accounts. What other business man would allow that amount to stand in accounts until they were no good ?" Moral : Collect closely ; if you can't get cash, take a pig, a cow, or a horse, or a load of wood or of corn-something that you can sell or use. If you can't do that, put your accounts in the form of notes-notes draw interest, and they are a better form of obligation than accounts. Accounts may be disputed; and that is the more likely, the older the account is. And while collecting obligations from others, don't forget your obligations to others.

Rectal Feeding. Editor MEDICAL WORLD :-Can you or any of the World readers advise me where I can find a thoro discussion of rectal feeding? Ashton, Neb.

Louis I. BOGEN. [Any of the special books treating on diseases of the stomach, intestins, or rectum, will give you a certain amount of information along the line mentioned. It is not a matter of sufficient importance to justify the publication of a special book on the subject. Diseases of the Stomach, Hemmeter, publisht by P. Blakiston's Son & Co., has about ten pages; Diseases of the Stomach, Van Valsah-Nisbet, publisht by W. B. Saunders & Co., has six pages on the subject, besides mentioning it in connection with various diseases; and there are a number of books publisht on diet in health and disease which discuss the subject. For fuller information, write any of these publishers.--ED.]

Weeping Eczema of Face. Editor MEDICAL WORLD:--Am troubled with what I diagnose acute inflammatory eczema of the weeping variety. It affects my face, principally the upper eyelids, cheeks, chin and lobes of the ears. Have never been troubled until I started to practise medicin in the country. It comes on when cold weather sets in and when I have to get out and make my drives into the country. This is the second year of my practise, and it is the second time it has come out on me. The eruption persists thruout the winter, is aggravated by exposure, and disappears in the spring. I feel perfectly well in every other particular; am 29 years of age and have never been sick a day in my life. The malady comes on after a drive out in the cold. There is first a


burning and itching of the skin, then swelling of the I gave him chloral, gr. x and bromid potash, gr. xv parts, followed by papular eruption, which later forms every three hours, but he did not rest much. Novemvesicles that burst and discharge a serous fluid, which ber in at 8.30 a.m., pulse and temperature about the upon drying forms crusts. The amount of Auid dis- same; still complained of pain in stomach and jaws charged is sometimes enormous, and the more I rub when opening his mouth ; stomach felt as hard as a At the worse it seems to get. Have tried various med- board ; slight spasms and tongue very much coated. icaments but all of no avail. The most emollient prep- Gave calomel gr. x, ext. col. comp. gr. iij, soda gr. arations, such as zinc oxid ointment, Lassar's paste, viij at one dose, followed in five hours with ten drops etc., are beneficial in as much as they soothe the parts. of turpentine and two tablespoonfuls of castor oil. Water aggravates it. Will you or some of the WORLD 5 p.m. all symptoms worse ; bowels had not acted ; family suggest something that will ameliorate the ordered enema of warm soapsuds, which acted two or affection, or perhaps cure it? Have any of the three times. Gave him morphin and atropin hypoderbrethren suffered with such a malady? If so, will they matically, which relaxt the system some, and he slept speak up and say what benefited them ? I will be three hours. Increast the chloral to twelve and a half very grateful to them for any help they may bestow. grains every two hours and mustard to spine. Silver Lake, Minn. T. W. HOVORKA, M.D. November 12, 6 a.m., pulse 110, temperature 99%, [It is possible that the skin of your face may

respiration 40; spasms every few minutes, with

increast stiffness of limbs; 5 p.m., no better. Novembe so se nsitiv by nature that it will not tolerate ber 13, 8 a.m., all symptoms worse. Respiration exposure to cold and wet; some skins are so increast to 52 per minute. Gave him bromid every constituted, and in such a case no medicin will

two hours, with six drops tinct. digitalis every

three hours; 5 p.m., no improvement and treatdo any permanent good. The indications are ment continued. About midnight he called all the plain that the face should be protected in so

family to his bedside, kissed them and told them good far as possible. Large goggles similar to those

bye. Was taken with a severe spasm which lasted

until death relieved him at 4 a.m. on November 14. worn by automobilists might do good service in His mind was clear all the time. He could open his protecting the skin about the eyes. We should

mouth just wide enuf to get a spoon between his teeth.

If it was a case of tetanus, was it caused from the think you could fashion a mask from chamois wound? or a case of idiopathic tetanus? If not tetaskin, donning it when entering the buggy, and nus, what was it? W. S. ROBERTSON, JR., M. D. removing it before entering the house, which

Mount Cross, Va. would allow the face to heal. Once all the

[Your case was one of true tetanus. Tetanus eruption and erythema have disappeared, we

is never idiopathic, but is always a result of would endeavor to toughen the skin by apply

the infection following the entrance of the

bacillus of tetanus into the system thru a ing an aqueous solution of formaldehyde, a dram to the quart of water, at night before re

wound. Merely because in some cases no extiring. This will toughen the skin, but must

ternal lesion could be found, some practicians not be used when there is any of the (czematous have concluded that no lesion existed; but eruption present, and in its use care must be

the view is undoubtedly erroneous.

The case taken that it is not allowed to enter the eyes.

presents some features a little unusual, but We have seen benefit follow the frequent ap

there is no doubt as to the diagnosis, and it is plication of pure imported bay rum in similar equally certain that the infection came from cases. A long course of lithia might remove

the wound.-ED.] the trouble. The irritation induced by the application of water may be avoided by bath

Editor MEDICAL WORLD :- Please give answer to

question on page 565 MEDICAL World: "Is a physiing the face with a cloth or sponge dipt in cian obliged to attend a patient who sends for him warm glycerin; this will cleanse the face o

[The question is the first in list of questions that the use of water may be dispenst with for on medical jurisprudence, about middle of long intervals, and the glycerin itself will cure second column of above mentioned page. many cases of eczema. An occasional skin

The general answer to this question is, no. will not tolerate glycerin, however, and if you However, as the laws of the different states are find its constant use unsuited to you, it would different, this answer may not apply to all, but better be discontinued immediately. For other we think it does. However, if attendance is treatment of eczema, see any good modern begun, reasonable attention may be exacted text-book. Your diagnosis is correct, but we until formal notice of withdrawal from case fear your therapy will be more difficult.–Ed.] has been given, with reasonable opportunity

for securing other medical services, and if such Tetanus.

notice or opportunity be not given, responsiEditor MEDICAL WORLD:-J. W., white, age eight bility for consequences is incurred.—Ed.] years and five months, on the 26th of October received a slight wound on right thumb by letting a white flint

An Old Man's Infirmities. rock fall on it, cutting a gash about a half inch long, bleeding freely. It was drest with a pad of red pepper Editor MEDICAL WORLD :-Man aged 72. Seems to to stop bleeding, and tied up with a common piece of have had some stomach trouble for years, at times ; white cloth. I saw him for the first time on November other times it does not bother him. Constipated more 10 at 1 p.m.; pulse 100, temperature 99o, respiration or less at all times unless aided by laxativs. History 30, tongue clean, bowels had acted from pills given the shows some liver trouble 30 years ago, lasting several night before ; complained of pain in pit of stomach and months; was pronounced ulceration of liver at that jaws, with some stiffness of limbs, but no pain in time. Used to drink considerable. Passes urin 5 or 6 thumb. The wound had nearly healed; there was times at night for last six months. Examination fails still a small scab on it.

to show any abnormalities in urin. Total amount

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